Organization
KENNEWICK PUBLIC HOSPITAL DISTRICT
Active
Parent organization
KENNEWICK PUBLIC HOSPITAL DISTRICT
Other names
KGH PHYSICIAN CLINICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNEWICK PUBLIC HOSPITAL DISTRICT
Authorized official
MR. GERALD A PAULE (CFO)
(509) 586-6111
Entity
Organization
Contact information
Practice address
900 S. AUBURN ST., KENNEWICK, WA 99336-0128
(509) 737-1880
(509) 737-1879
Mailing address
PO BOX 6128, KENNEWICK, WA 99336-0128
(509) 737-1878
(509) 737-1879
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3304003
—
WA
05
—
7137417
—
WA
Enumeration date
03/27/2007
Last updated
10/17/2013
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